Rifle—Plate 24.
UPPER EXTREMITY.
Gunshot Fracture of the Radius and Ulna in the
Upper Third of the Forearm.
The course of the projectile was from within, outward and diagonally forward, with a direct impact on the ulna, and a tangential impact on the radius, with several lines of splitting fracture in the latter without detaching fragments. Particles of metal, spattered around the point of first impact, were deposited by the lead core of a bullet, exposed by a torn jacket, which struck the second bone with its jacketed surface.
The treatment is always conservative—meeting indications in case of infection.
Results are good for saving the limb, but not for avoiding deformity.
Plate 25.
